Provider Demographics
NPI:1346002631
Name:LIFELINE PLUS PHARMACY LLC
Entity Type:Organization
Organization Name:LIFELINE PLUS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDURAHMAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:614-937-2006
Mailing Address - Street 1:3860 UNION DEPOSIT RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-5919
Mailing Address - Country:US
Mailing Address - Phone:717-441-4948
Mailing Address - Fax:717-441-4948
Practice Address - Street 1:3860 UNION DEPOSIT RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-5919
Practice Address - Country:US
Practice Address - Phone:717-441-4948
Practice Address - Fax:717-441-4948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy